Evidence map›Paper›PMID 40336066›Full record

ArticleJournal of pharmaceutical health care and sciences2025

Nonsteroidal anti-inflammatory drug use is associated with improved activities of daily living and rehabilitation in older adult patients following a fracture: a retrospective cohort study.

Eiji Kose, Hidetatsu Endo, Hiroko Hori, Shingo Hosono, Chiaki Kawamura, Yuta Kodama, Takashi Yamazaki, Toshimi Kimura

Erratum issuedAbstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Eiji KoseDepartment of Pharmacy, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan. koseeiji6121@gmail.com.ORCID http://orcid.org/0000-0002-5094-2122
Hidetatsu EndoDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Hiroko HoriDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Shingo HosonoDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Chiaki KawamuraDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Yuta KodamaDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Takashi YamazakiDepartment of Pharmacy, Ogaki Tokushukai Hospital, 6-85-1 Hayashi-chou, Ogaki, Gifu, 503- 0015, Japan.
Toshimi KimuraDepartment of Pharmacy, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsufficient rehabilitation due to postfracture pain can result in muscle atrophy and joint contractures, which may affect the improvement of activities of daily living (ADL). This study investigated the impact of using nonsteroidal anti-inflammatory drugs (NSAIDs) on the improvement of ADL in older adult patients with fractures admitted to a convalescent rehabilitation unit.

methodsOf 489 older adult patients with fractures from January 2017 to June 2019, 261 fulfilled the requirements for this retrospective cohort analysis. Patients who had convalescent rehabilitation following a fracture were categorized into two groups: those who used NSAIDs and those who did not. The functional independence measure-total gain (FIM-total) score, which was used for evaluating ADL, was the main outcome measure. We ascertained the independent relationship between NSAIDs use and rehabilitation outcomes using a multiple linear regression analysis. Covariates selected to correct bias included age, sex (male), BMI, hypertension, dementia, cardiovascular disease, cerebrovascular disease, upper limb paralysis, femoral fracture, lumbar compression fracture, thoracic compression fracture, pelvic fracture, patellar fracture, FIM-total at admission, number of drugs, acetaminophen use.

resultsThe mean participant age was 82.3 ± 7.4 years, 69 (26.4%) of them were men, and 94 (36%) used NSAIDs. Multiple linear regression analysis revealed that NSAIDs use was independently associated with FIM-total gain during hospitalization (β=2.311, P=0.013).

conclusionsThese findings suggest that the appropriate use of NSAIDs may play a beneficial role in maximizing rehabilitation outcomes. However, careful monitoring for potential adverse effects is essential, particularly in older adults.

Indexed as

Activities of daily livingFunctional independence measure-total gainNonsteroidal anti-inflammatory drugsOlder adult patients

Identifiers

PMID40336066
PMCPMC12060291

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.